OrganizationActive
Interventional Pain Consultants
NPI 1174241145 · Interventional Pain Medicine Physician · Cleveland, TN
Provider details
- NPI number
- 1174241145
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kari Widdifield, Practice Administrator(423) 339-9581
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2550 Business Park Dr Ne
Cleveland, TN 37311-6503
Phone: (423) 339-9581
Street-level locationGet directions
Mailing address
Po Box 2070
Cleveland, TN 37320-2070
Additional practice locations (4)
- 1500 Dug Gap RdDalton, GA 30720-5009Phone: (706) 529-8816
- 102 Dunhill Pl NwCleveland, TN 37311-3885Phone: (423) 339-9581
- 11416 Grigsby Chapel Rd Ste 104Knoxville, TN 37934-1649Phone: (865) 218-2100
- 101 Donner DrOak Ridge, TN 37830-7745Phone: (865) 685-0941
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.